scholarly journals Transposition of Subclavian Artery – Is It the Appropriate Choice?

PRILOZI ◽  
2017 ◽  
Vol 38 (1) ◽  
pp. 47-51
Author(s):  
Nikola Lazovski ◽  
Sasko Jovev ◽  
Dusan Babic ◽  
Srdjan Babic ◽  
Omer Dzemali
Keyword(s):  
Surgical Treatment ◽  
Treatment Failure ◽  
Endovascular Treatment ◽  
Subclavian Artery ◽  
Artery Occlusion ◽  
Long Term Results ◽  
Duplex Scan ◽  
Subclavian Artery Occlusion ◽  
Artery Disease

Abstract Introduction: To present patients with symptomatic subclavian artery disease and treatment possibility. Case report: A 53-year-old female was admitted with vertigo and left arm claudication. Duplex-scan and MSCT arteriography verified subclavian artery occlusion. After the endovascular treatment failure, the patient was switched to surgical treatment - subclavian artery transposition. After the successful surgical treatment, the patient was discharged on the second postoperative day. If the patient is a candidate for surgery, the literature review shows good initial and long-term results after the subclavian artery transposition, and emphasizes this technique as superior. Conclusion: Subclavian carotid transposition is a safe and effective method of treatment in patients after endovascular treatment failure or other indication. Also, the surgical treatment is technically demanding because of the difficult access to the vessel origin, and it requires experienced surgeons.

Clinical Impact of Intravascular Ultrasound Guidance During Endovascular Treatment of Subclavian Artery Disease

2017 ◽  
Vol 24 (5) ◽  
pp. 731-738 ◽  
Author(s):  
Wen-Jung Chung ◽  
Yoshimitsu Soga ◽  
Yusuke Tomoi ◽  
Masahiko Fujihara ◽  
Shinya Okazaki ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Endovascular Treatment ◽  
Intravascular Ultrasound ◽  
Subclavian Artery ◽  
Primary Patency ◽  
Secondary Patency ◽  
Complication Rates ◽  
All Cause Mortality ◽  
Artery Disease

Purpose: To evaluate the short- and long-term efficacy of intravascular ultrasound (IVUS) guidance during endovascular treatment (EVT) of subclavian artery disease. Methods: The multicenter SCALLOP registry (SubClavian Artery disease treated with endovascuLar therapy; muLticenter retrOsPective registry) was interrogated to identify 542 patients who underwent successful EVT for SCAD between January 2003 and December 2012. Lesions were classified according to the use of IVUS guidance: 177 patients (mean age 68.9±8.6 years; 149 men) with and 373 patients (mean age 69.9±8.7 years; 275 men) without. The main outcome was the difference in primary patency; secondary outcomes were differences in assisted primary patency, secondary patency, overall survival, freedom from major adverse cardiovascular events [MACE; all-cause mortality, myocardial infarction (MI), and stroke], and freedom from major adverse events (MAE). Multivariate analysis of the IVUS+ group was performed to identify predictors of failure; results are presented as the hazard ratio (HR) and 95% confidence interval (CI). Results: In total, 538 (97.8%) lesions were treated with stents and 12 lesions by balloon angioplasty alone. Periprocedural and in-hospital overall complication rates did not differ significantly between IVUS+ (10.2%) and IVUS– (8.8%, p=0.617). Long-term follow-up demonstrated no significant difference between IVUS+ and IVUS– groups in 5-year all-cause mortality (p=0.37), MI (p=0.07), stroke (p=0.31), or MACE (p=0.07). However, 5-year primary patency was significantly higher in the IVUS+ group (88.5% vs 77.7%, p=0.03). There were no group differences in 5-year assisted primary patency (90.4% vs 89.9%, p=0.81) or secondary patency (99.4% vs 97.1%, p=0.25). Multivariate analysis of the IVUS+ group identified in-hospital stroke (HR 16.92, 95% CI 3.60 to 79.42, p<0.01) and combined use of balloon-expandable and self-expanding stents (HR 5.59, 95% CI 1.22 to 25.65, p=0.02) as independent negative predictors of primary patency. Conclusion: These results suggest that IVUS guidance can significantly improve long-term primary patency following endovascular treatment of subclavian artery disease.

Perioperative and Long-term Outcomes of Endovascular Treatment for Subclavian Artery Disease From a Large Multicenter Registry

2015 ◽  
Vol 22 (4) ◽  
pp. 626-633 ◽  
Author(s):  
Yoshimitsu Soga ◽  
Yusuke Tomoi ◽  
Masahiko Fujihara ◽  
Shinya Okazaki ◽  
Yasutaka Yamauchi ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Subclavian Artery ◽  
Long Term Outcomes ◽  
Artery Disease ◽  
Multicenter Registry

scholarly journals Treatment of traumatic rupture of the thoracic aorta

2008 ◽  
Vol 136 (9-10) ◽  
pp. 498-504 ◽  
Author(s):  
Lazar Davidovic ◽  
Miroslav Markovic ◽  
Momcilo Colic ◽  
Nikola Ilic ◽  
Igor Koncar ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Mortality Rate ◽  
Endovascular Treatment ◽  
Thoracic Aorta ◽  
Good Condition ◽  
Long Term Results ◽  
Traumatic Rupture ◽  
Published Data ◽  
Aorta Rupture

INTRODUCTION Interest for traumatic thoracic aorta rupture stems from the fact that its number continually increases, and it can be rapidly lethal. OBJECTIVE The aim of this study is to present early and long term results as well as experiences of our team in surgical treatment of traumatic thoracic aorta rupture. METHOD Our retrospective study includes 12 patients with traumatic thoracic aorta rupture treated between 1985 and 2007. There were 10 male and two female patients of average age 30.75 years (18-74). RESULTS In six cases, primary diagnosis was established during the first seven days days after trauma, while in 6 more than one month later. In 11 cases, classical open surgical procedure was performed, while endovascular treatment was used in one patient. Three (25%) patients died, while two (16.6%) had paraplegia. Nine patients (75%) were treated without complications, and are in good condition after a mean follow-up period of 9.7 years (from one month to 22 years). CONCLUSION Surgical treatment requires spinal cord protection to prevent paraplegia, using cardiopulmonary by-pass (three of our cases) or external heparin-bonded shunts (five of our cases). Cardiopulmonary by-pass is followed with lower incidence of paraplegia, however it is not such a good solution for patients with polytrauma because of hemorrhage. The endovascular repair is a safe and feasible procedure in the acute phase, especially because of traumatic shock and polytrauma which contributes to higher mortality rate after open surgery. On the other hand, in chronic postrauamatic aortic rupture, open surgical treatment is connected with a lower mortality rate and good long-term results. There have been no published data about long-term results of endovascular treatment in the chronic phase.

scholarly journals ENDOVASCULAR TREATMENT OF ISCHEMIC HEART DISEASE IN PATIENTS WITH MULTIVESSEL CORONARY ARTERY DISEASE: IMMEDIATE AND LONG-TERM RESULTS

2012 ◽  
Vol 67 (7) ◽  
pp. 8-14
Author(s):  
E. R. Khairutdinov ◽  
Z. Kh. Shugushev ◽  
D. A. Maksimkin ◽  
A. G. Faibushevich ◽  
G. I. Veretnik ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Endovascular Treatment ◽  
Clinical Success ◽  
Long Term Results ◽  
Multivessel Coronary Artery Disease ◽  
Incomplete Revascularization ◽  
Artery Disease

Immediate and long-term results of endovascular treatment of multivessel coronary artery disease by using different revascularization strategies were analyzed in 171 patients. Duration of follow up ranged from 12 to 18 months. Complete myocardium revascularization was performed in 63 patients, culprit vessel revascularization ― in 86 pts and incomplete revascularization ― in 22 pts. Results of this study showed that strategy of complete and culprit vessel revascularization in patients with multivessel coronary artery disease has comparable immediate and long-term results. Strategy of incomplete revascularization reduce immediate clinical success and lead to increased number of myocardial infarctions and needs of coronary artery bypass surgery in long-term follow-up period.   

Long-term results of primary stenting for subclavian artery disease

2013 ◽  
Vol 82 (5) ◽  
pp. 696-700 ◽  
Author(s):  
Akihiro Higashimori ◽  
Nobuyuki Morioka ◽  
Shinnji Shiotani ◽  
Masahiko Fujihara ◽  
Keisuke Fukuda ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Long Term Results ◽  
Primary Stenting ◽  
Artery Disease

Acute Thrombotic Subclavian Artery Occlusion Treated With a New Rotational Thrombectomy Device

2002 ◽  
Vol 9 (6) ◽  
pp. 917-921 ◽  
Author(s):  
Thomas Zeller ◽  
Ulrich Frank ◽  
Karlheinz Bürgelin ◽  
Lutz Sinn ◽  
Barbara Horn ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Artery Occlusion ◽  
Rotational Thrombectomy ◽  
Subclavian Artery Occlusion ◽  
Thrombectomy Device

Temporary “liquid” Implant for Congenital Glaucoma (long-term results)

2020 ◽  
pp. 49-65
Author(s):  
N Bobrova ◽  
N Trofimova
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Hypotensive Effect ◽  
Congenital Glaucoma ◽  
Long Term Results ◽  
General Will ◽  
Visual Functions ◽  
Advanced Stages ◽  
Intraocular Fluid

The aim of the work was to analyze the long-term results of using a temporary “liquid” implant in the surgery of congenital glaucoma in children. The basis of the developed method of filtrative antiglaucomatous surgery (Patent of Ukraine No. 45099 of 2009) – viscosinusotrabeculotomy – has been set the task of reducing the risk of developing intra- and postoperative complications, reducing the scarring rate and maintaining the newly created ways of the intraocular fluid outflow, which in general will increase the effectiveness of surgical treatment of congenital glaucoma in children. 54 children (91 eyes) with simple congenital glaucoma at the age of 1 to 36 months were operated on average (8.7 ± 8.2) months. The persistent and long-lasting hypotensive effect achieved due to viscosinusotrabeculotomy in children with developed and far-advanced stages of congenital glaucoma stops the processes of stretching of the membranes of the eye and stabilizes their size, which in general allows preserving and visual functions improving, in infancy – creating conditions for their formation.

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